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ASSUMPTION OF RISK AND LIABILITY RELEASE FORM

I, the undersigned, on behalf of my successors, assigns, heirs and executors, do hereby acknowledge, release, covenant not to sue, and forever discharge Weapons Training & Fundamentals Academy, LLC, of 52 Tuscan Way Ste 202-215, St Augustine, FL 32092, its employees, agents, successors and assigns, of and from any and all manner of action and actions, claims, suits, damages, judgments and demands of any kind whatsoever, whether now or in the future, at law or in equity, that results or may result from firearms or subject control procedures used upon the premises of or from any event, hosted or sponsored by Weapons Training & Fundamentals Academy, LLC, training or instruction on the use of such firearms and subject control procedures by Weapons Training & Fundamentals Academy, LLC, its successors, employees, agents and assigns.

I further acknowledge that the use of firearms is an inherently dangerous activity and involve known, unknown, and unanticipated risks which could result in damage or destruction of property, serious physical injury to myself or others, or death; and that activities at this event may involve strenuous physical exertion including running, carrying heavy objects, and navigating physical obstacles which all present risk of physical injury.  I expressly acknowledge that serious accidents may occur during the event, and freely accept and assume any and all such risks, dangers, and hazards and the possibility of personal injury, death, property damage, and any other loss resulting therefrom. 

I Agree

Please answer the following questions.

Are you under indictment or have you been formally accused in any court for a crime for which the judge could imprison you for more than one year? 

Are you prohibited from possessing a firearm, ammunition or other weapon due to having a felony conviction, court order, immigration status, or mental defect?

Are you an unlawful user of, or addicted to any depressant, stimulant, or narcotic drug, or any other controlled substances?

Have you been discharged from the Armed Forces under dishonorable conditions?

Are you barred from owning or possessing a firearm due to a domestic violence charge or conviction?

Do you have a disability or injury that might prevent you from participating safely in any activity today? 

Are you at least 18 years old or accompanied by your parent or guardian who is able to give consent for your participation in firearms related activities?

Are you a United States Citizen?

Emergency Medical Consent

I hereby consent to all medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during the event. I agree to assume all costs and fees incurred as a result of such medical treatment. I have provided an emergency contact on this form to be notified in the event of an emergency.

I Agree
Emergency Contact

Emergency Contact First Name *

Emergency Contact Last Name *

Emergency Contact Phone Number *
Photo Consent

I grant permission to Weapons Training & Fundamentals Academy, LLC and its agents and employees the irrevocable and unrestricted right to reproduce the photographs and/or video images taken of me, or members of my family, for the purpose of publication, promotion, illustration, advertising, or trade, in any manner or in any medium. I hereby release Weapons Training & Fundamentals Academy, LLC and its legal representatives for all claims and liability relating to said images or video. Furthermore, I grant permission to use my statements that were given during an interview or guest lecture, with or without my name, for the purpose of advertising and publicity without restriction. I waive my right to any compensation. 

Assumption of Risk

I acknowledge and agree that the terms and conditions of the above provisions shall continue in full force and effect for the duration of this training event and future training events conducted by Weapons Training & Fundamentals Academy, LLC.

I Agree

I CERTIFY THAT I HAVE CAREFULLY READ THE PROVISIONS ABOVE, FULLY UNDERSTAND THEM, AND AGREE TO BE BOUND BY THEM.  I VOLUNTARILY CONSENT AND AGREE TO THIS ASSUMPTION OF RISK AND RELEASE OF LIABILITY. 

I Agree
First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email
Check to receive information, news, and discounts by e-mail.
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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